Organization
DAVID C. MITTELL
Active
Other names
Waterdam Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHARLES MITTELL (PHYSICIAN)
(724) 942-4372
Entity
Organization
Contact information
Practice address
5000 WATERDAM PLAZA DR, SUITE 180, MCMURRAY, PA 15317-5412
(724) 942-4372
(724) 942-4373
Mailing address
5000 WATERDAM PLAZA DR, SUITE 180, MCMURRAY, PA 15317-5412
(724) 942-4372
(724) 942-4373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-022476-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009586090002
—
PA
Enumeration date
08/21/2006
Last updated
06/23/2008
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